1.Your First and Last Name

2.Child's First and Last Name

3.Child's Age

4.Child's Grade & Teacher

5.Child's Gender

6.Your Home Address, E-mail & Phone Number

7.Is your family new to Parkmead?

Yes- and I'd like to be matched with a returning family who knows Parkmead well

No- but I'd like to be a resource / contact person for a new family

8.If you are a family NEW to Parkmead, do you have any specific questions we can help answer?

9.If you have been at Parkmead for more than 1 year, would you be willing to be the contact person for 2 new families, if needed?

Yes

No

10.What is your family's primary language?